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Individual

JENNIFER NICOLE KASZUBSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
2700 W CYPRESS CREEK RD STE C100, FORT LAUDERDALE, FL 33309-1741
(954) 974-3111
(954) 974-6191
Mailing address
9632 WATERVIEW WAY, PARKLAND, FL 33076-2898
(845) 258-7356

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9110648
FL
363AM0700X
Medical Physician Assistant
Primary
PA9110648
FL

Other

Enumeration date
09/30/2017
Last updated
02/11/2025
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